To develop a journey map of home health management for patients with tracheoesophageal fistula after "three-tube" interventional procedure,systematically analyze their core experiences and needs at different stages,and propose targeted nursing strategies accordingly.
From March to August 2025,patients who underwent "three-tube" procedure for tracheoesophageal fistula and their caregivers were selected from the interventional radiology department of a tertiary general hospital in Zhengzhou city for readmission follow-up as study subjects.Semi-structured in-depth interviews were conducted,and the interview data were analyzed using Colaizzi's seven-step analysis method to develop a patient journey map.
A total of 26 sub-themes were summarized from tasks,emotions,pain points dimensions,forming a journey map covering the early discharge period,transitional adaptation period,long-term tube-living period,and rehabilitation sprint period.
The home health management needs of patients with tracheoesophageal fistula after "three-tube" interventional procedure present stage-specific and multidimensional characteristics,with prominent needs for caregiving skill support,psychosocial adaptation,and swallowing safety reconstruction.In the future,phased and systematic transitional nursing strategies can be developed and implemented based on the constructed health management journey map.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |